Approved by Project Sponsor

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Approved by Project Sponsor Monthly Leadership Report Project Title, Team MUSIQ Score________, Report Date _________ Sponsor Name______________ Organization Name__________ Facilitator Name and Contact Info Approved by Project Sponsor ………………………………………………………………… Name/Signature/Date What are we trying to accomplish? (Include Project Start/End Date and Numeric Goals) Team Project Progress Score (0.5-5.0 Scale) and Reason Changes We Plan to Test PDSA’s In Progress Now Why is it Important to work on now? Barriers and Specific needs from Sponsor this Month to Overcome Them. Business Case: Evidence Based Improvements & Savings Recommendations / Next Steps Team

Approved by Project Sponsor Monthly Leadership Report Project Title, Team MUSIQ Score, Report Date Sponsor Name Approved by Project Sponsor ………………………………………………………………… Name/Signature/Date How will we know it is an improvement?(List project measures and indicate which are Outcome/Process/Balancing) Example of multiple graphs on this page. Each measure must have graph. Each graph must be updated at least monthly with most current data. Measurement Graphs-(fit multiple per page)